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Workshop: Clinical Challenges of Medications for Opioid Use Disorder in Pregnant Patients

Clinical guidance from both the American College of Obstetricians and Gynecologists and the Substance Abuse and Mental Health Services Administration includes recommendations for medications for opioid use disorder (MOUD) in lieu of supervised withdrawal to improve outcomes and reduce the risk of relapse. In this workshop, we will discuss the clinical use of MOUD in pregnant patients to include methadone, buprenorphine, buprenorphine/naloxone, buprenorphine extended-release injection, and naltrexone extended-release injection. We will educate the audience regarding clinical indications for use, dosing and dosing adjustments, adverse effects, and clinical outcomes. We will review several challenging clinical cases requiring audience participation. Our clinical expertise will be compared with the audience’s experience with pregnant patients on MOUD in various settings. The goal is to solidify audience knowledge to become more comfortable prescribing and managing pregnant patients on MOUD to increase availability of this treatment option and improve outcomes.

Skill-Building Exercises – incorporating tools such as hands-on training, quizzes, toolkits, worksheets, facilitated small group discussions or breakouts., Case Discussion - Use of cases to engage the audience in brainstorming about diagnosis, treatment planning, clinical issues.  

Learning Objectives
  • Review pharmacology, dosing, and adverse effects of MOUD in pregnant patients.
  • Select the most appropriate MOUD for pregnant patients.
  • Develop a treatment plan for pregnant patients with opioid use disorder.
Keywords / Topics
  • Pregnant
  • MOUD
  • Opioid Use Disorder
Youssef Mahfoud, MD, Chairperson and Presenter
Dr. Mahfoud completed residency in Psychiatry at Cleveland Clinic, then a fellowship in Addiction Psychiatry at University Hospitals in Cleveland. . 

Jaina Amin , MD, Co-Chair and Presenter

Jaina Amin, is a perinatal and reproductive psychiatrist in Cleveland, OH. Working in both the academic and community settings with women in pregnancy, postpartum, and medication assistant treatment. 

 Jessica Mulhollan, MD, Presenter
Dr. Jessica Mulhollan is a Clinical Pharmacist Practitioner specializing in Substance Use Disorders at the VA Northeast Ohio Healthcare System in Cleveland, OH. 
Availability: On-Demand
Cost: FREE
Credit Offered:
No Credit Offered
American Academy of Addiction Psychiatry
The content on this site is intended solely to inform and educate medical professionals. This site shall not be used for medical advice and is not a substitute for the advice or treatment of a qualified medical professional.

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